How much rates vary
Facilitymedian $4,898 · 10th to 90th $1,820 to $10,000Professionalmedian $2,754 · 10th to 90th $1,175 to $14,454
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $724.44 Median $1,819.70 Typical High $4,466.84 | Facility | None | $724.44 | $1,819.70 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $2,290.87 | Professional | None | $724.44 | $724.44 | $2,290.87 |
Ambetter Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $5,248.07 Typical High $14,454.40 | Facility | None | $3,630.78 | $5,248.07 | $14,454.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $1,995.26 Typical High $7,762.47 | Professional | None | $1,174.90 | $1,995.26 | $7,762.47 |
Blue Shield Setting Facility Modifier None Typical Low $2,089.30 Median $6,760.83 Typical High $8,709.64 | Facility | None | $2,089.30 | $6,760.83 | $8,709.64 |
Blue Shield Setting Professional Modifier None Typical Low $1,318.26 Median $1,905.46 Typical High $3,630.78 | Professional | None | $1,318.26 | $1,905.46 | $3,630.78 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $3,235.94 | Professional | None | $2,344.23 | $2,344.23 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $4,466.84 Typical High $8,912.51 | Facility | None | $1,949.84 | $4,466.84 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $3,162.28 Typical High $14,454.40 | Professional | None | $1,548.82 | $3,162.28 | $14,454.40 |
Contra Costa Health Setting Professional Modifier None Typical Low $2,344.23 Median $3,235.94 Typical High $3,235.94 | Professional | None | $2,344.23 | $3,235.94 | $3,235.94 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,630.27 Median $3,235.94 Typical High $7,244.36 | Professional | None | $2,630.27 | $3,235.94 | $7,244.36 |
Lucent Health Setting Professional Modifier None Typical Low $14,454.40 Median $21,877.62 Typical High $21,877.62 | Professional | None | $14,454.40 | $21,877.62 | $21,877.62 |
Molina Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,951.21 | Professional | None | $1,445.44 | $1,445.44 | $2,951.21 |
Providence Setting Facility Modifier None Typical Low $1,862.09 Median $3,388.44 Typical High $7,943.28 | Facility | None | $1,862.09 | $3,388.44 | $7,943.28 |
Providence Setting Professional Modifier None Typical Low $1,584.89 Median $3,235.94 Typical High $14,454.40 | Professional | None | $1,584.89 | $3,235.94 | $14,454.40 |
Sutter Health Plus Setting Professional Modifier None Typical Low $10,232.93 Median $10,232.93 Typical High $10,232.93 | Professional | None | $10,232.93 | $10,232.93 | $10,232.93 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $2,951.21 | Facility | None | $1,230.27 | $1,230.27 | $2,951.21 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,737.80 Typical High $11,481.54 | Professional | None | $1,230.27 | $1,737.80 | $11,481.54 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $363.08 Median $912.01 Typical High $2,238.72 | Facility | 52 · Reduced service | $363.08 | $912.01 | $2,238.72 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $144.54 Median $363.08 Typical High $891.25 | Facility | 53 · Discontinued | $144.54 | $363.08 | $891.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $363.08 Median $363.08 Typical High $977.24 | Professional | 52 · Reduced service | $363.08 | $363.08 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $389.05 | Professional | 53 · Discontinued | $144.54 | $144.54 | $389.05 |
Where California sits
The same service costs 5.4 times more in Alaska than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
California· 17th of 51
$2,951
AK $6,607AL $1,230
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.